Provider 1114159902
NPI: 1114159902Share
Active Billing Period:2018-01→2023-03(61 months)
Billing appears to have stoppedLast active: 2023-03
Total Paid
$15.8M
$15,766,517
Total Claims
102K
Beneficiaries
3,074
33.1 claims/patient
Avg Cost/Claim
$155
Monthly Spending Trend
Yearly Spending
2018
$2.2M
+184%
2019
$6.3M
-84%
2020
$1.0M
+246%
2021
$3.5M
-34%
2022
$2.3M
-81%
2023
$449K
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 4 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 83% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
$13.1M
82K claims
$160.04
$1,795.74
0.1×
Normal range
T2046Normal range
Habilitation, residential, waiver; per month
$13.1M
82K claims · 83.3%
Your Cost: $160.04/claim|Median: $1,795.74
0.1× median$1.5M
12K claims
$128.00
$188.03
0.7×
Normal range
T2042Normal range
Financial management, self-directed, waiver, per month
$1.5M
12K claims · 9.6%
Your Cost: $128.00/claim|Median: $188.03
0.7× median$611K
5,671 claims
$107.71
$177.99
0.6×
Normal range
Q5003Normal range
Injection, infliximab-dyyb, biosimilar, 10 mg
$611K
5,671 claims · 3.9%
Your Cost: $107.71/claim|Median: $177.99
0.6× medianQ5004Normal range
$512K
2,347 claims · 3.2%
Your Cost: $217.97/claim|Median: $127.12
1.7× median